A nurse is monitoring a client following a coronary angiography. Which of the following findings should the nurse report to the provider?

BUN 30 mg/dL

Sinus rhythm 95/min on a cardiac monitor

Respiratory rate 12/min

PTT 25 seconds

Answer and Explanation

The Correct Answer is A

Choice A reason: BUN or blood urea nitrogen 30 mg/dL is above the normal range of 10 to 20 mg/dL and indicates renal impairment or dehydration, which can be caused by contrast dye used during coronary angiography or blood loss during or after the procedure. The nurse should report this value to the provider and monitor the client for signs of acute kidney injury, such as oliguria, edema, or electrolyte imbalances.

Choice B reason: Sinus rhythm 95/min on a cardiac monitor is within the normal range of 60 to 100/min and does not indicate any cardiac arrhythmia or ischemia.

Choice C reason: Respiratory rate 12/min is within the normal range of 12 to 20/min and does not indicate any respiratory distress or hypoxia.

Choice D reason: PTT or partial thromboplastin time 25 seconds is within the normal range of 25 to 35 seconds and does not indicate any bleeding disorder or anticoagulant therapy.

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Correct Answer is B

Explanation

Choice A reason: Staying nearby can provide comfort and support is not an appropriate response, as it does not acknowledge or validate the partner's feelings of grief and loss. The nurse should listen empathetically and encourage the partner to express their emotions.

Choice B reason: I can understand your feelings of sadness is an appropriate response, as it shows empathy and compassion for the partner's situation and allows them to feel heard and understood.

Choice C reason: I will be positive and optimistic for you is not an appropriate response, as it implies that the partner's feelings are negative or inappropriate and that they need to be changed or fixed. The nurse should respect and accept the partner's feelings without judging or minimizing them.

Choice D reason: You should try to be strong for him is not an appropriate response, as it places pressure and expectations on the partner and discourages them from showing their true feelings. The nurse should support and empower the partner without imposing their own values or beliefs.

A. Shave the client from axillae to groin. B. Administer a cleansing enema. C. Have the client drink contrast medium. D. Ensure the signed consent is in the medical record.

Correct Answer is D

Explanation

Choice A reason: Shaving the client from axillae to groin is not necessary, as it has no relation to the procedure and can cause skin irritation or infection.

Choice B reason: Administering a cleansing enema is not required, as it does not affect the upper gastrointestinal tract that is examined by the procedure. The client should fast for at least 6 hours before the procedure to ensure an empty stomach.

Choice C reason: Having the client drink contrast medium is not indicated, as it can interfere with the visualization of the mucosa and lesions by the endoscope. The client may receive a local anesthetic spray or gargle to numb the throat and a sedative to relax and reduce discomfort during the procedure.

Choice D reason: Ensuring the signed consent is in the medical record is an essential action, as it indicates that the client has been informed about the purpose, risks, benefits, and alternatives of the procedure and has agreed to undergo it voluntarily.

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A nurse is monitoring a client following a coronary angiography. Which of the following findings should the nurse report to the provider?

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